Lillington Health and Rehab: Broken Dishwasher Violations - NC
The problems started, by the facility's own account, no later than June 2025, when a new certified dietary manager came on board and found the machine already in bad shape. He described it spurting water. The feed line was broken and leaking. Holes in the dishwasher that had been identified as needing repair when he arrived in June were not actually fixed until July 23, according to a facility invoice reviewed by inspectors.
That wasn't the end of it.
On July 18, a service technician who supplied the facility's chemical agents discovered something worse: the chemical lines running into the machine were crossed. The same technician, upon finding the crossed lines, ordered a replacement motor part for the malfunctioning drain. When inspectors interviewed the dietary manager about what happened next, he said he wasn't sure who the intended repair person was when the part was ordered. The motor, as of the inspection, had not been replaced.
The administrator told inspectors she had only learned that week, the week of the August survey, that the dishwasher was owned by the facility at all. Her understanding had been that it was a rental. During a corporate buyout the previous year, she said, the machine had somehow become facility property without that information being passed along to her. When the county health department sent an employee out on July 1 to look at the dishwasher, the administrator said she believed they would leave a written report and provide some education. She was waiting on that written report before moving forward with repairs.
The health department visit was July 1. The chemical lines were found crossed on July 18. The holes were patched on July 23. Inspectors arrived August 13. At no point in that window was the machine fully operational and properly maintained at the same time.
In the interim, the facility had stopped using reusable trays and switched to disposable single-use food service items for residents. That workaround was still in place when inspectors arrived.
CMS cited the facility under F0908, which covers the maintenance of equipment used in food preparation and service. The level of harm was listed as minimal harm or potential for actual harm, affecting a few residents.
What the inspection record leaves behind is a timeline of deferred decisions and incomplete information moving through a chain of people who each understood only part of the problem. The dietary manager knew the machine was broken when he arrived but didn't control the repair timeline. The administrator didn't know the machine was hers to fix. The health department came and went in July without producing the written report the administrator was waiting on. The chemical technician found the crossed lines, ordered a part, and apparently left without confirming who would install it.
The motor was still uninstalled when inspectors walked in six weeks later.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Lillington Health and Rehabilitation Center from 2025-08-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 27, 2026 · Our methodology
Lillington Health and Rehabilitation Center in Lillington, NC was cited for violations during a health inspection on August 13, 2025.
He described it spurting water.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.